Individual
MR. FIRASAT S MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2335 CHESTERFIELD AVE, SUITE 300, CHARLESTON, WV 25304-1066
(304) 343-7576
(304) 343-3273
Mailing address
# L-2329, COLUMBUS, OH 43260-2329
(304) 205-8906
(304) 345-7320
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
14371
WV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
14371
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129472000
—
WV
01
—
1942385950
GROUP MEDICAID
WV
01
—
330001114
RR MEDICARE
WV
01
—
9154261
GROUP MEDICARE
WV
Enumeration date
01/10/2006
Last updated
01/23/2017
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